Rx-Act All Day Pain Relief

Naproxen is used for pain, swelling, and stiffness connected with arthritis or painful menstrual periods. Naproxen may cause stomach problems.

Rx-Act All Day Pain Relief Overview

Updated: January 9, 2015

Naproxen is both an over-the-counter and a prescription medication. The over-the-counter form is used to treat minor aches and pains, and to reduce fever. The prescription form is used to reduce pain, redness, swelling, and heat (inflammation) from conditions such as different types of arthritis, menstrual cramps, and other types of short-term pain. Naproxen belongs to a class of drugs called non-steroidal anti-inflammatory drugs, or NSAIDs. These work by stopping substances in your body that cause inflammation and pain.

Prescription

Naproxen comes as a regular tablet, an enteric coated tablet (delayed-release tablet), an extended-release (long-acting) tablet, and a suspension (liquid) to take by mouth. The extended-release tablets are usually taken once a day. The tablets, enteric coated tablets, and suspension are usually taken twice a day for arthritis. The tablets and suspension are usually taken every 8 hours for gout, and every 6 to 8 hours as needed for pain. If you are taking naproxen on a regular basis, you should take it at the same time(s) every day.

Over-the-counter

Naproxen is available as tablets, caplets, gelcaps, and liquid gels to take by mouth. It is usually taken every 8 to 12 hours.

Common side effects of naproxen include stomach pain, heartburn, nausea, and gas. Naproxen can aslo cause dizziness or drowsiness. Do not drive or operate heavy machinery until you know how this medication will affect you.

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Rx-Act All Day Pain Relief Precautions

Heart attack or stroke: Tell your healthcare provider right away if you have some or all of the following symptoms…

shortness of breath

chest pain

weakness

slurring of speech

New hypertension or worsening of preexisting hypertension: Have your blood pressure watched by your doctor closely if taking naproxen, especially if you have a history of hypertension or are taking medications to treat hypertension.

Congestive heart failure: Tell your healthcare provider right away if you have some or all of the following symptoms…

swelling in the arms or legs

shortness of breath

unexplained weight gain

fatigue

Serious and sometimes fatal skin reaction: Tell your healthcare provider right away if you have some or all of the following symptoms…

rash

blistering

itching

fever

Stomach bleeding and ulceration (holes or sores of your stomach or intestines): Tell your healthcare provider right away if you have some or all of the following symptoms…

pain

blood in stools (black or tarry stools)

coughing up of blood

indigestion or general stomach discomfort

Liver toxicity: Tell your healthcare provider right away if you have some or all of the following symptoms…

flu-like symptoms

itchiness

fatigue

nausea

yellow tinting of the skin or eyes

Kidney injury: Patients at greatest risk of this are those who already have renal dysfunction, heart failure, liver injury, those taking diuretics or ACE inhibitors, and the elderly.

Anaphylactoid reaction: Tell your healthcare provider right away if you have some or all of the following symptoms…

swelling of the face or throat or trouble swallowing

difficulty breathing, coughing, chest tightness, wheezing

dizziness, fainting, rapid or weak heartbeat

flushing, itching, hives or a feeling of warmth

Pregnancy: In late pregnancy, naproxen should be avoided since it may cause premature closure of the ductus arteriosus.

Pre-existing asthma: Naproxen should not be taken in patients with aspirin-sensitive asthma and should be used with caution in patients with preexisting asthma.

Anemia: Tell your healthcare provider right away if you have some or all of the following symptoms…

Shortness of breath

Dizziness

Headache

Coldness in the hands and feet

Pale skin

Chest pain

Naproxen can cause dizziness or drowsiness. Do not drive or operate heavy machinery until you know how naproxen affects you.

Do not take naproxen if the following has occurred:

have had a hypersensitivity (allergic) reaction to naproxen

asthma, hives, or other allergic-type reactions after taking NSAIDs (including naproxen) other aspirin

coronary artery bypass graft (CABG) surgery; naproxen is not to be used for treating pain before or after this surgery

Rx-Act All Day Pain Relief Food Interactions

Medicines can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of naproxen, there are no specific foods that you must exclude from your diet when receiving naproxen.

Rx-Act All Day Pain Relief and Pregnancy

The FDA categorizes medications based on safety for use during pregnancy. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.

Naproxen falls into category C. This medication may be given to a pregnant woman if her healthcare provider believes that its benefits to the pregnant woman outweigh any possible risks to her unborn baby.

In addition, naproxen is known to cause heart defects on the developing fetus. Use during pregnancy, especially during late pregnancy, should be avoided.

Rx-Act All Day Pain Relief Usage

Prescription naproxen comes as a regular tablet, an enteric coated tablet (delayed-release tablet), an extended-release (long-acting) tablet, and a suspension (liquid) to take by mouth. The extended-release tablets are usually taken once a day. The tablets, enteric coated tablets, and suspension are usually taken twice a day for arthritis. The tablets and suspension are usually taken every 8 hours for gout, and every 6 to 8 hours as needed for pain. If you are taking naproxen on a regular basis, you should take it at the same time(s) every day.

Tn enteric-coated tablet and extended release tablets should not be crushed or chewed.

If you miss a dose, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses of naproxen at the same time.

Rx-Act All Day Pain Relief FDA Warning

NSAIDs may cause an increased risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal. This risk may increase with duration of use. Patients with cardiovascular disease or risk factors for cardiovascular disease may be at greater risk.

Naproxen as NAPROSYN, EC-NAPROSYN, ANAPROX, ANAPROX DS or NAPROSYN Suspension is contraindicated for the treatment of peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery.

Gastrointestinal Risk

NSAIDs cause an increased risk of serious gastrointestinal adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Elderly patients are at greater risk for serious gastrointestinal events.

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